Organization Active NPI

Family Foot and Ankle Center of South Jersey

  • Foot & Ankle Surgery Podiatrist
  • Cherry Hill, NJ
National Provider Identifier
1336396605
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FAMILY FOOT AND ANKLE CENTER OF SOUTH JERSEY
Practice address
1020 N Kings Hwy
Suite 110
Cherry Hill, NJ 08034-1906
Phone
(856) 667-8222
Fax
(856) 667-9739
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bruce Folbaum
Title
Podiatrist
Phone
(856) 667-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1020 N Kings Hwy
Suite 110
Cherry Hill, NJ 08034-1906

Mailing address

1020 N Kings Hwy
Suite 110
Cherry Hill, NJ 08034-1906
Phone (856) 667-8222

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1336396605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N KINGS HWY",
            "address_2": "SUITE 110",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341906",
            "telephone_number": "856-667-8222",
            "fax_number": "856-667-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N KINGS HWY",
            "address_2": "SUITE 110",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341906",
            "telephone_number": "856-667-8222",
            "fax_number": "856-667-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE CENTER OF SOUTH JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "FOLBAUM",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "856-667-8222"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.